捻发音综合征和 INSPIRE 舌下神经刺激器故障

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2024-03-07 DOI:10.1016/j.omsc.2024.100353

Jennifer W. Bergstrom , Allen Cheng , Baber Khatib , Ashish Patel

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引用次数: 0

摘要

阻塞性睡眠呼吸暂停（OSA）的特点是睡眠时上气道反复塌陷。自 2014 年获得 FDA 批准以来，INSPIRE 舌下神经刺激器已被用于治疗无法使用 CPAP 的中重度 OSA 患者。在本病例报告中，我们讨论了舌下神经刺激器因患者产生的对植入装置的旋转操作而发生故障的问题。这种现象被称为 Twiddler's 综合征，其他植入式医疗设备也曾出现过这种情况。我们回顾了与 Twiddler's 综合征相关的风险因素以及降低发生风险的策略。

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Twiddler's syndrome and INSPIRE hypoglossal nerve stimulator malfunction

Obstructive sleep apnea (OSA) is characterized by recurrent upper airway collapse during sleep. Since FDA approval in 2014, INSPIRE hypoglossal nerve stimulators have been used for the treatment of moderate to severe OSA in patients who are unable to use CPAP. In this case report we discuss malfunction of a hypoglossal nerve stimulator due to rotational manipulation of the implanted device that is patient generated. This phenomenon is called Twiddler's Syndrome and has been demonstrated with other implantable medical devices. We review risk factors associated with Twiddler's syndrome, and strategies for mitigating risk of occurrence.

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.